Individual provider Active NPI

Amanda Renee Bryan, PHARMD

  • Pharmacist
  • Kenmore, WA
National Provider Identifier
1437795010
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61689916 Issued in WA
Practice address
6414 NE Bothell Way
Kenmore, WA 98028-4819
Phone
(425) 486-7711
Fax
(425) 486-9639
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61689916 WA Primary

Addresses

Primary practice location

6414 NE Bothell Way
Kenmore, WA 98028-4819

Mailing address

6414 NE Bothell Way
Kenmore, WA 98028-4819
Phone (425) 486-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH61689916WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ostroms Enterprises Inc CurrentSince Oct 12, 2025 Accepting new patients
Ostroms Enterprises Inc PastSince Oct 12, 2025 Accepting new patients

Locations

6414 NE Bothell Way
Kenmore, WA 98028
Phone (425) 486-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1437795010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284819",
            "telephone_number": "425-486-7711",
            "fax_number": "425-486-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284819",
            "telephone_number": "425-486-7711",
            "fax_number": "425-486-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61689916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.